Organization
BLEU DENTISTRY LLC
Active
Other names
Bleu Dentistry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FLORES (OFFICE MANAGER)
(214) 699-4976
Entity
Organization
Contact information
Practice address
3607 OAK LAWN AVE, 201, DALLAS, TX 75219-4743
(214) 699-4976
(214) 712-4940
Mailing address
3607 OAK LAWN AVE, 201, DALLAS, TX 75219-4743
(214) 526-2538
(214) 559-8955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194163618
NPI TYPE 1
TX
Enumeration date
02/03/2016
Last updated
10/04/2019
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